Financial Assistance

Financial Assistance

Memorial Hospital is proud of its mission to provide quality care to all who need it.

Memorial Hospital is committed to caring for our patients, including patients who financially are unable to pay for hospital services. We encourage patients to apply for financial assistance if they believe that they are unable to pay all or part of their hospital bills.

Here is a plain language summary of the policy. Download the pdf below or call 402-646-4704 to obtain a free copy of the financial assistance policy and financial assistance application form, through the mail.

You may obtain a free copy of the financial assistance policy and financial assistance application form, through the mail by calling our Patient Accounts Department at 402-646-4704. Spanish translations of these forms are also available.

A complete financial evaluation is required to determine your eligibility for financial assistance. Review and determination of eligibility may require 30 days after submission of the application. Patients will receive written notification following Memorial Hospital's determination.

Need Help or Have Questions? We're Here for You.

Memorial Hospital is committed to serving our patients. Our patient accounts department is available to answer questions about the financial assistance policy and the application process. If you have questions about this process, please call 402-646-4704 or email us at patient.accounts@mhcs.us.